Abstract
Abstract
Objective: to evaluate professional impact of RA on the affected
subjects.
Materials and Methods: A trans-sectional study was conducted in the
Rheumatology Service of University Hospital of Monastir, in Tunisia; between
1999 and 2013. Study population is represented by patients with the diagnosis
of and selected according to inclusion and exclusion criteria. The severity of
RA was evaluated through the Health Assessment Questionnaire (HAQ) and the capacity
of work was assessed according to the Work ability index score (WAI).
Results:
Half of patients stopped definitively their professional activity because of
their illness that occurred in the majority of cases at the first 5 years of
evolution of the disease. Working leaving was found in 48 % of cases,
invalidity in 28 % of cases, early retirement in 12 % of cases and the
long-term sick leave in 12 % of cases. Predictors of work stoppages were the
means of transport between the place of residence and workplace, the work
sector, the professional category and to presence of coxopaty. Patients in
professional activity had a mean score of WAI 28± 8.28, 80 % of them had a
working capacity poor to moderate. Predictive factors of poor work ability were
the type of profession, exposure to movements in hyper flexion, hyperextension
of wrists and to repetitive gestures and a high HAQ score.
Conclusions: Loss of work among patients with RA is a
multifactorial and complex phenomenon involving socio-demographic, clinical and
other parameters related to professional environment.
Keys words: Arthritis Rheumatoid; Work Ability Index; Disability.
References
- Gibofsky A. Overview of epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis. American journal of managed care 2012. 18 (13 Suppl): 295-302. 2. Pillon F, Michiels Y. Épidémiologie et physiopathologie de la polyarthrite rhumatoïde. Actualités Pharmaceutiques 2013; 52:1-2. 3. Filipovic I, Walker D, Forster F, et Curry AS. Quantifying the economic burden of productivity loss in rheumatoid arthritis. Rheumatology 2011;50 (6): 1083-90. 4. Gabriel S E et Michaud K. Epidemiological studies in incidence, prevalence, mortality, and comorbidity of the rheumatic diseases. Arthritis Research and therapy 2009; 11(3): 229. 5. Osiri M et Sattayasomboon Y. Prevalence and out-patient medical costs of comorbid conditions in patients with rheumatoid arthritis. Joint Bone Spine 2013; 80(6): 608-12. 6. Fautrel B et Gaujoux-Viala C. Medical and economic aspects of rheumatoid arthritis. Bull Acad Natl Med 2012; 196(7): 1295-305. 7. Her M. et Kavanaugh A. Critical analysis of economic tools and economic measurement applied to rheumatoid arthritis. Clin Exp Rheumatol 2012; 30(4): 107-11. 8. Radkiewicza P et Widerszal-Bazyl M. Psychometric Properties of Work Ability Index in the Light of Comparative Survey Study. International Congress Series 2005;1280: 304-9. 9. van den Berg T I, Elders L A, De Zwart B C et Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 2009; 66(4): 211-20. 10. Ilmarinen J. The Work Ability Index (WAI). Occupational Medicine 2007; 57: 160.
Abstract
References
- Gibofsky A. Overview of epidemiology, pathophysiology, and diagnosis of rheumatoid arthritis. American journal of managed care 2012. 18 (13 Suppl): 295-302. 2. Pillon F, Michiels Y. Épidémiologie et physiopathologie de la polyarthrite rhumatoïde. Actualités Pharmaceutiques 2013; 52:1-2. 3. Filipovic I, Walker D, Forster F, et Curry AS. Quantifying the economic burden of productivity loss in rheumatoid arthritis. Rheumatology 2011;50 (6): 1083-90. 4. Gabriel S E et Michaud K. Epidemiological studies in incidence, prevalence, mortality, and comorbidity of the rheumatic diseases. Arthritis Research and therapy 2009; 11(3): 229. 5. Osiri M et Sattayasomboon Y. Prevalence and out-patient medical costs of comorbid conditions in patients with rheumatoid arthritis. Joint Bone Spine 2013; 80(6): 608-12. 6. Fautrel B et Gaujoux-Viala C. Medical and economic aspects of rheumatoid arthritis. Bull Acad Natl Med 2012; 196(7): 1295-305. 7. Her M. et Kavanaugh A. Critical analysis of economic tools and economic measurement applied to rheumatoid arthritis. Clin Exp Rheumatol 2012; 30(4): 107-11. 8. Radkiewicza P et Widerszal-Bazyl M. Psychometric Properties of Work Ability Index in the Light of Comparative Survey Study. International Congress Series 2005;1280: 304-9. 9. van den Berg T I, Elders L A, De Zwart B C et Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 2009; 66(4): 211-20. 10. Ilmarinen J. The Work Ability Index (WAI). Occupational Medicine 2007; 57: 160.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Articles |
| Authors | |
| Publication Date | February 1, 2018 |
| Published in Issue | Year 2018 Volume: 3 Issue: 1 |